1. (1) Directors, program directors, assistant directors, site directors, program supervisors, lead teachers, assistant teachers, and any other ONB providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must have a current pediatric and adult first-aid and CPR certificate, pursuant to WAC 110-302-0106.

2. (2) ONB providers must keep a complete first-aid kit where children are present, such as in the licensed space, on any off-site trip, and in vehicles used to transport children in care. A first-aid kit must:

   1. (a) Be stored in a location that is easily accessible to staff;
   2. (b) Be inaccessible to children;
   3. (c) Be separate from food or chemicals;
   4. (d) Be kept clean and sanitary;
   5. (e) Be stored in a manner that prevents contamination; and
   6. (f) Have sufficient supplies for the number of enrolled children and staff consistent with the ONB program's licensed capacity, or sufficient supplies for each room in the licensed space.

3. (3) First-aid kits must include:

   1. (a) Disposable nonporous protective nonlatex gloves;
   2. (b) Adhesive bandages of various sizes;
   3. (c) Small scissors;
   4. (d) Tweezers;
   5. (e) An elastic wrapping bandage;
   6. (f) Sterile gauze pads;
   7. (g) Ice packs;
   8. (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use;
   9. (i) A sling, or a large triangular bandage;
   10. (j) Adhesive tape;
   11. (k) A CPR barrier with a one-way valve or both, and an adult and pediatric CPR mask with a one-way valve;
   12. (l) Sterile, nonadhesive bandages of various sizes;
   13. (m) A fire suppression blanket for ONB programs that engage in campfire activities;
   14. (n) Hand-warmers and a method to prevent direct skin contact for hand-warmers that reach temperatures above 120 degrees Fahrenheit;
   15. (o) Emergency thermal blanket;
   16. (p) A current first-aid manual; and
   17. (q) Hand sanitizer (for adult use only unless otherwise approved for a child's use by that child's parent or guardian pursuant to WAC 110-302-0215).

[Statutory Authority: RCW 43.216.742. WSR 23-10-059, § 110-302-0230, filed 5/1/23, effective 6/1/23.]